Disaster

Maternal Drinking Patterns and Drug Use Increase Impact of Terrorism Among Pregnant Women Attending Prenatal Care

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Publication Date: 
May 2005

This is the first known study of the psychosocial impact of terrorism among pregnant women. Ninety-nine women attending prenatal care in New York City were interviewed after September 11, 2001 and classified by drinking patterns. Current drinkers with a history of alcohol dependence perceived less social support following the disaster compared to other women. History of illegal drug use prior to maternal awareness of pregnancy was related to a weaker maternal-fetal bond. Greater exposure to trauma predicted stronger subjective effects and more depressive symptoms.

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Marilyn W. Lewis, Ph.D., Barbara L. Lanzara, M.D., Janet L. Stein, M.D., and Deborah S. Hasin, Ph.D.

Marilyn Lewis, Ph.D. is an Assistant Professor at The Ohio State University, College of Social Work. Please address correspondence about this article to Dr. Lewis at lewis.998@osu.edu, 1947 College Rd., Stillman Hall Rm325-N, Columbus, OH 43210. Dr. Lanzara is Associate Director of the Department of Obstetrics and Gynecology at Harlem Hospital Medical Center, affiliated with Columbia University College of Physicians and Surgeons and the New York City Health and Hospitals Corporation, 506 Lenox Ave., New York, NY, 10037, bl2@columbia.edu. Dr. Stein is Director of the Medical Residency Program in the Department of Obstetrics & Gynecology at Beth Israel Medical Center, affiliated with Albert Einstein College of Medicine University Hospital, First Ave. at 16th St., New York, NY 10003, jstein@chpnet.org. Dr. Hasin is Professor of Epidemiology at the Mailman School of Public Health at Columbia University, 1051 Riverside Dr., Box 123, New York, NY, dsh2@columbia.edu.

This work was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in conjunction with the Office of Research on Women's Health of the National Institutes of Health (F31AA05560-02, MWL) and the Jewish Foundation for Education of Women (MWL). Parts of this manuscript were prepared while the first author (MWL) was supported by NIAAA (T32AA07290-22) as a Postdoctoral Fellow at the Alcohol Research Center at the University of Connecticut, School of Medicine. Portions of these data were presented at the Research Society on Alcoholism annual meeting at Ft. Lauderdale, FL, June 2003.